推拿肾俞穴治疗老年肾虚腰痛的临床研究
摘要
目的：本研究从免疫学方面探索推拿肾俞穴治疗老年肾虚腰痛的作用机制。方法：
设推拿治疗组与药物对照组各60例，治疗组以推拿肾俞穴为主，肾阳虚加擦腰骶部
及肾俞、命门一线，肾阴虚加擦涌泉。对照组肾阳虚腰痛口服桂附八味丸，肾阴虚腰
痛口服六味地黄丸。观察治疗前后临床症状体征改善情况、腰痛程度、NO、Ig含量、
T淋巴细胞亚群和血液流变学等的变化。结果：这一研究表明，治疗组与对照组在
治疗老年肾虚腰痛方面，均有不同程度的疗效，而治疗组在降低疼痛程度方面与对照
组比较有显著性差异(P<0． 01) 。推拿治疗组患者的血液流变学指标治疗后与治疗
前相比有显著性差异。而且治疗后NO、Ig、CD3、 CD4、 CD4/CD8较治疗前明显
提高，与对照组相比具有显著性差异(P<0． 01) 。说明推拿肾俞穴能改善微循环，
调节机体免疫功能。结论：本研究结果充分表明，免疫功能低下可能是引起老年腰痛
的病因之一，推拿肾俞穴可以提高免疫功能和加快血液循环、改善微循环。因此可以
认为推拿肾俞穴治疗老年肾虚腰痛机理，除与其镇痛作用和改善微循环障碍以外，还
与其调节老年人的免疫功能有关。
Objective: To disclose the therapeutic mechanism on the immunity of lumago for aged patients caused by kidney deficiency, the study used modernistic lab examine .
Methods: 120 patients selected from outpatients and wardpatients of the Shandong Traditional Chinese Medicine hospital were devided randomly into tuina group and controll group. Tuina group took Shenshu point as the dominant method, rubbing waist?sacrum and Shenshu to Mingmen points additionally in the type of insufficiency of kidney-yang while rubbing Yongquan point in the type of insufficiency of kidney-yin. There are 15days in a period of treatment and the trerapy was manipulated in 20 minutes once a day between 2 coursrs continusly. In the controll group patients of insufficiency of kidney-yang and insufficiency of kidney-yin took different boluses in the same course of treatment. Looking on clinical curative effect?complex evaluateon of pain? NO?the content of Immune globulin?T lymphocyte and the transformation of
blood flow as observation indexes, observed before and afer therapy.
Results: The results showed that there was significant difference between the Tuina group and the controlling group(P <0.01) in clinical curative
effect?complex evaluateon of pain?NO, the content of Immune globulin?T lymphocyte(CD3?CD4?CD4/CD8) and the transformation of blood flow . The tuina group was superior to that of the control group in treating lumbago for aged patients caused by kidney deficiency .
Conc I us ions:The study confirms that lower immuneity may be one of the pathogenies causing lumbago for aged people. The therapeutic mechanism of Tuina in treating lumago for aged patients caused by kidney deficiency lies not only on its analgesic effect and amending the microcircle, but also on improveing the abnormal immunity function.
设推拿治疗组与药物对照组各60例，治疗组以推拿肾俞穴为主，肾阳虚加擦腰骶部
及肾俞、命门一线，肾阴虚加擦涌泉。对照组肾阳虚腰痛口服桂附八味丸，肾阴虚腰
痛口服六味地黄丸。观察治疗前后临床症状体征改善情况、腰痛程度、NO、Ig含量、
T淋巴细胞亚群和血液流变学等的变化。结果：这一研究表明，治疗组与对照组在
治疗老年肾虚腰痛方面，均有不同程度的疗效，而治疗组在降低疼痛程度方面与对照
组比较有显著性差异(P<0． 01) 。推拿治疗组患者的血液流变学指标治疗后与治疗
前相比有显著性差异。而且治疗后NO、Ig、CD3、 CD4、 CD4/CD8较治疗前明显
提高，与对照组相比具有显著性差异(P<0． 01) 。说明推拿肾俞穴能改善微循环，
调节机体免疫功能。结论：本研究结果充分表明，免疫功能低下可能是引起老年腰痛
的病因之一，推拿肾俞穴可以提高免疫功能和加快血液循环、改善微循环。因此可以
认为推拿肾俞穴治疗老年肾虚腰痛机理，除与其镇痛作用和改善微循环障碍以外，还
与其调节老年人的免疫功能有关。
Objective: To disclose the therapeutic mechanism on the immunity of lumago for aged patients caused by kidney deficiency, the study used modernistic lab examine .
Methods: 120 patients selected from outpatients and wardpatients of the Shandong Traditional Chinese Medicine hospital were devided randomly into tuina group and controll group. Tuina group took Shenshu point as the dominant method, rubbing waist?sacrum and Shenshu to Mingmen points additionally in the type of insufficiency of kidney-yang while rubbing Yongquan point in the type of insufficiency of kidney-yin. There are 15days in a period of treatment and the trerapy was manipulated in 20 minutes once a day between 2 coursrs continusly. In the controll group patients of insufficiency of kidney-yang and insufficiency of kidney-yin took different boluses in the same course of treatment. Looking on clinical curative effect?complex evaluateon of pain? NO?the content of Immune globulin?T lymphocyte and the transformation of
blood flow as observation indexes, observed before and afer therapy.
Results: The results showed that there was significant difference between the Tuina group and the controlling group(P <0.01) in clinical curative
effect?complex evaluateon of pain?NO, the content of Immune globulin?T lymphocyte(CD3?CD4?CD4/CD8) and the transformation of blood flow . The tuina group was superior to that of the control group in treating lumbago for aged patients caused by kidney deficiency .
Conc I us ions:The study confirms that lower immuneity may be one of the pathogenies causing lumbago for aged people. The therapeutic mechanism of Tuina in treating lumago for aged patients caused by kidney deficiency lies not only on its analgesic effect and amending the microcircle, but also on improveing the abnormal immunity function.
引文
[1] 费季翔，陆珍千，刘志诚等．从尿液中单胺类物质含量的改变观察推拿牵引治疗 腰椎间盘突出症的镇痛机理．按摩与导引，1992； (1) ：9-11．
[2] 陆珍千，费季翔，刘志诚等．从血浆与尿中儿茶酚胺和它的代谢产物含量说明推 拿的镇痛作用．颈腰痛杂志，1994；15(4) ：199-200．
[3] 陈全珠，刘冰怀，焦洁等．推拿牵引镇痛调整唾液中五羟色胺的变化．疼痛学杂志， 1995：3(4) ：149-150．
[4] 刘志诚．推拿按摩镇痛和调整作用的研究．中国中医骨伤科杂志，1991； (5) ： 3-9．
[5] 刘志诚，陈东，陈全珠等．外周血儿茶酚胺在推拿牵引镇痛调整中的作用。中西医 结合杂志，1986； (9) ：540-542．
[6] 彭筱．按摩对血循环系统生化功能的影响．按摩与导引，1987； (5) ：20．
[7] 王凌斗．微循环的正常结构、功能及调节．天津市医学科技情报研究所医学情报资 料，1987； (1) ：1．
[8] 韩济生．痛觉生理的某些进展．中西医结合软组织疼痛学学术会议论文汇编， 1984：1。
[9] 胡三觉．局部刺激降低大鼠痛觉感受器反应性．针灸论文摘要选编，1987：290。
[10] 龚金德．推拿镇痛与内啡呔的关系．上海中医药杂志，1982： (4) ：22。
[2] 陆珍千，费季翔，刘志诚等．从血浆与尿中儿茶酚胺和它的代谢产物含量说明推 拿的镇痛作用．颈腰痛杂志，1994；15(4) ：199-200．
[3] 陈全珠，刘冰怀，焦洁等．推拿牵引镇痛调整唾液中五羟色胺的变化．疼痛学杂志， 1995：3(4) ：149-150．
[4] 刘志诚．推拿按摩镇痛和调整作用的研究．中国中医骨伤科杂志，1991； (5) ： 3-9．
[5] 刘志诚，陈东，陈全珠等．外周血儿茶酚胺在推拿牵引镇痛调整中的作用。中西医 结合杂志，1986； (9) ：540-542．
[6] 彭筱．按摩对血循环系统生化功能的影响．按摩与导引，1987； (5) ：20．
[7] 王凌斗．微循环的正常结构、功能及调节．天津市医学科技情报研究所医学情报资 料，1987； (1) ：1．
[8] 韩济生．痛觉生理的某些进展．中西医结合软组织疼痛学学术会议论文汇编， 1984：1。
[9] 胡三觉．局部刺激降低大鼠痛觉感受器反应性．针灸论文摘要选编，1987：290。
[10] 龚金德．推拿镇痛与内啡呔的关系．上海中医药杂志，1982： (4) ：22。